IMPAC  Mailorder and Internet Pharmacy Accreditation

Accreditation Survey Application

Complete all areas of the application and return to IMPAC

Mailing Address:   IMPAC, Inc. P.O. Box 1146 Manchester, Vermont  05254 U.S.A. Telephone: (800) 677-7019 (413) 443-9780 Fax: (413) 443-9724 Wiring and Courier Instructions available upon request.

A non-refundable payment of $1,000.00 (U.S.), payable to IMPAC, Inc., must accompany all completed applications. The IMPAC™ Mailorder and Internet Pharmacy Accreditation Standards will be faxed to the survey contact person upon receipt of the completed application, fee and signed non-disclosure agreement. The survey must be scheduled within ninety (90) days of receipt of the application. Partial payment of the survey fee, $10,000.00 (U.S.), is due 30 days prior to the survey date. The balance of the survey fee and reimbursement for the surveyors’ travel expenses is due before receiving accreditation report.

Survey Fee Schedule: Application Fee: $1,000.00 (USD) Base Pharmacy Survey $20,000.00 (USD) Surveyor Expenses (travel/meals/lodging)

Survey pricing for additional Pharmacies, Websites, Free Standing Customer Call Center or consultation audits are available upon request.

IMPAC Mailorder and Internet Pharmacy Survey Schedule: Day 1: Document Review Day 2: Human Resource File Review   Policy and Procedure Review   Pharmacy Tour and Interviews   Information Management Interview   Shipping Tour and Interviews   Call Center Tour and Interviews   Exit Conference         IMPAC surveyors will require the following on-site: Room that provides privacy to review documents Documents labeled and organized by IMPAC standard List of all employees with their credentials and/or job titles for selection of the random Human Resource files.     IMPAC Accreditation Status Designations: 1. Full Accreditation: 100% compliance with the standards. 2. Conditional Accreditation 75% compliance to standards with no consumer safety issues can be changed to full status if evidence is provided that all standards are met within 90 days of the Survey Findings Summary. 3. No Accreditation: Organizations with less than 75% compliance or with serious consumer safety issues or that do not submit evidence of compliance within 90 days of the Survey Findings Summary may re-apply for survey after a 6-month waiting period.         IMPAC Accreditation Term is 2 years Organization changes during the IMPAC™ Accreditation Term. In the event an organization adds additional pharmacies or call centers or websites to their operations IMPAC must be notified within 30 days of the change(s). Pharmacies or call centers and websites added to an organization during the accreditation term must be surveyed for compliance to current IMPAC standards within 90 days, if they are going to display the IMPAC seal. Failure of a pharmacy or free standing call center to inform IMPAC of organizational changes will lose accreditation status, and will not be eligible to apply for accreditation for a period of three years. Failure of an organization to maintain IMPAC Mailorder and Internet Pharmacy Standards or found to have falsify information given to IMPAC is at significant risk to lose accreditation status.